Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

T3D1

            My capstone project aims to reduce falls of home-health patients recovering at home after hospitalization or procedure/surgeries. Once the patient is discharged to their home for recovery they are at a higher risk for falls due to their weakened state or physical ability after a procedure. Promptly assessing the patient, their home, and risk factors a personalized safety plan and education can be implemented. Increased multi-disciplinary focus on fall prevention and home safety upon return to home will expedite a safe and sustainable return to home, keeping individuals out of the hospitals related to falls. 

Cross-Cultural Adaptation and Reliability of the Home Falls and Accidents Screening Tool

–        This article looked into the use of tele-assessment for the risk of the home for falls for patients. It was deemed possible to conduct a safety assessment of the home through video/photo documentation by the visiting healthcare worker for specialists to review but was determined that a real-time tele-assessment with interactions with the patient would be more effective. This is applicable to the capstone project because of the tele-assessment portion with more of health care moving to tele-health interactions etc. 

 

 

Risk Factors Associated with Falls among Nursing Home Residents

-This article identified risk factors for falls among the elderly. Static balance, resort to emergency services, polypharmacy, and independent care ability were all leading factors that determined the risk of falls for the elderly. Identifying what factors put patient’s at risk for falls will help determine who in the home setting is at risk for falls. 

 

Managing and keeping control: A qualitative synthesis of nursing and care staff strategies to prevent older people from falling

–        This article examined the role of the healthcare worker in fall prevention. Found that the role of the healthcare worker is dynamic and interactive with the patient and their environment. Multi-disciplinary teams are sometimes required to best fill the patient needs to prevent falls. 

 

Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model

–        This article examined what factors predicted rehospitalization of patient’s at home with CHF. This found that increased health literacy, activities of daily living, level of fraility, and self-care were related to increased independence. This is applicable due to identifying what the chronic illness patient can do to positively impact their outcome and keep them out of the hospital to sustainably manage their health. 

 

 

Association between Initiation of Pulmonary Rehabilitation and Rehospitalizations in Patients Hospitalized with Chronic Obstructive Pulmonary Disease. 

–        This article examines the effect of prompt intervention of the patient who is discharged home for pulmonary rehab and the impact this prompt intervention has on their readmission rates. This article found that COPD patients who intitiated pulmonary rehabe within 90 days of discharge from the hospital had lower hospital re-admission rates. This is applicable due to the association of prompt intervention and positive patient outcomes for patients discharged to home. 

 

Identifying profiles of people aged 65 and over who fall at home and associated falling-induced injuries

–        This article examined commonalities of patients who fall in their homes and the injuries acquired with these falls. This is applicable because identifying risk factors for individuals who fall at home and the seriousness of the injuries acquired is a good indicator for the effect of the falls on patients and their outcomes. 

 

 

 

 

References:

 

            Ahmad Ainuddin, H., Romli, M. H., Hamid, T. A., Salim, M. S. F., Mat Din, H., & Mackenzie, L. (2022). Cross-Cultural Adaptation and Reliability of the Home Falls and Accidents Screening Tool (HOME FAST) in Assessing Fall-Risk Home Hazards for Stroke Using Technologies over a Conventional Home Visit. Occupational Therapy International, 1–13. https://doi-org.lopes.idm.oclc.org/10.1155/2022/6044182

 

Cristina Imaginário, Teresa Martins, Fátima Araújo, Magda Rocha, & Paulo Puga Machado. (2021). Risk Factors Associated with Falls among Nursing Home Residents: A Case-Control Study. Portuguese Journal of Public Health, 69–79. https://doi-org.lopes.idm.oclc.org/10.1159/000520491

 

De La Cuesta, B. C., Lidón, C. B., Abad, C. E., Meseguer, L. C., & Arredondo, G. C. P. (2021). Managing and keeping control: A qualitative synthesis of nursing and care staff strategies to prevent older people from falling. Journal of Advanced Nursing77(7), 3008–3019. https://doi-org.lopes.idm.oclc.org/10.1111/jan.14794

 

            Ma, C., & Zhou, W. (2020). Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model. Journal of Advanced Nursing (John Wiley & Sons, Inc.)76(6), 1334–1344. https://doi-org.lopes.idm.oclc.org/10.1111/jan.14327

 

            Stefan, M. S., Pekow, P. S., Priya, A., ZuWallack, R., Spitzer, K. A., Lagu, T. C., Pack, Q. R., Pinto-Plata, V. M., Mazor, K. M., & Lindenauer, P. K. (2021). Association between Initiation of Pulmonary Rehabilitation and Rehospitalizations in Patients Hospitalized with Chronic Obstructive Pulmonary Disease. American Journal of Respiratory and Critical Care Medicine204(9), 1015–1023. https://doi-org.lopes.idm.oclc.org/10.1164/rccm.202012-4389OC

 

Torres, M. J., Pédrono, G., Rigou, A., Carcaillon-Bentata, L., & Beltzer, N. (2022). Identifying profiles of people aged 65 and over who fall at home and associated falling-induced injuries: The French ChuPADom study. Injury. https://doi-org.lopes.idm.oclc.org/10.1016/j.injury.2022.02.021

 

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